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Organization

ASTGIK SOGHOMONIAN

Active
Other names
Sanger Medical Supplies
Organization subpart
No

Provider details

NPI number
Authorized official
ASTGIK SOGHOMONIAN (OWNER)
(559) 876-2551
Entity
Organization

Contact information

Practice address
1348 7TH ST, SANGER, CA 93657-2419
(559) 876-2551
(559) 876-1911
Mailing address
1348 7TH STREET, SANGER, CA 93657-2419
(559) 876-2551
(559) 876-1911

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
100201
CA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
332BX2000X
Oxygen Equipment & Supplies (DME)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
DME02265F
CA
Enumeration date
10/25/2006
Last updated
11/17/2021
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